AMANDA M JOHNSON D.O.
NPI 1073046330
Family Medicine in Portland, OR

Q: What is Amanda Johnson's NPI number?

The NPI number for Amanda Johnson is 1073046330. It was assigned to this individual provider in the NPPES registry on April 4, 2017. The provider is also known as Amanda Wilson Do.

Q: What is Amanda Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Johnson was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment

4805 NE GLISAN ST, PORTLAND, OR 97213(503) 215-2392 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2025, Jun 14, 2021, May 12, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Amanda M Johnson D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA M JOHNSON D.O. (NPI 1073046330) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (DO222716) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of Lincoln Memorial University Medical Department (2017).

NPPES Registry Identity

NPI1073046330

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameAMANDA M JOHNSONCredential: D.O.

Location Address4805 NE GLISAN STPortland, OR 97213-2933

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 215-2392

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2017

Enumeration DateApril 4, 2017

Last NPPES UpdateFebruary 24, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2025

✔ NPI 1073046330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OR · DO222716✔ Licensed in CO · DR.0061848

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License DO222716 (OR), DR.0061848 (CO)

4805 NE GLISAN ST, Portland, OR 97213

Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Wilson Do

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda M Johnson D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254602964

PECOS Enrollment IDI20250207002371

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

311 services145 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

116 services114 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

53 services53 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

48 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380061

Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers19 claims25 services$15.57 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers27 claims34 services$78.61 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALONA SHRESTHA MD

Internal Medicine

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-2392

PROVIDENCE HEALTH & SERVICES - OREGON

General Acute Care Hospital

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 451-3000

DR. ROBERT THOMAS MARTIN M.D.

Emergency Medicine

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 297-6334

CECILIA BRADFORD CRNA

Nurse Anesthetist, Certified Registered

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-1111

PROVIDENCE HEALTH & SERVICES - OREGON

Psychiatric Unit

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-4323

GITA D GELFER DO

Hospitalist

4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213

Multnomah County (503) 215-2392

MECCA CARTER

Doula

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-1111

JESUS ERNESTO CONRIQUE GARCIA

Nurse's Aide

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Johnson's NPI number?

The NPI number for Amanda Johnson is 1073046330. It was assigned to this individual provider in the NPPES registry on April 4, 2017. The provider is also known as Amanda Wilson Do.

Where is Amanda Johnson located?

Amanda Johnson practices at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-2392.

What is Amanda Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amanda Johnson enrolled in Medicare?

Yes. Amanda Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amanda Johnson affiliated with any hospitals?

According to CMS data, Amanda Johnson is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Johnson was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.